Medical Director – Medical Genetics & Genomics – EviCore

Job Description

• This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Medical Director – Medical Genetics & Genomics – EviCore in the United States. This role offers an opportunity for a board-certified physician to apply deep expertise in genetics and genomics within a high-impact, evidence-based clinical decision-making environment. You will contribute to ensuring appropriate, high-quality patient care by conducting medical necessity reviews and guiding utilization decisions across complex genetic cases. The position blends clinical expertise with structured medical review processes in a fully remote, technology-enabled setting. You will collaborate closely with other physicians and clinical leaders to evaluate cases, ensure adherence to evidence-based guidelines, and support optimal care pathways. The role includes direct engagement with referring providers through peer-to-peer consultations to discuss clinical appropriateness and alternative care options. You will operate within a highly collaborative physician network focused on improving healthcare quality at scale. This is a mission-driven position combining clinical rigor, regulatory awareness, and continuous learning in a rapidly evolving specialty field.
• Accountabilities: Conduct evidence-based medical necessity reviews for genetic and genomic cases using structured case management systems. Participate in peer-to-peer consultations with referring providers to discuss clinical appropriateness and treatment options. Apply clinical expertise to evaluate requests and recommend alternative services when appropriate based on evidence-based guidelines. Ensure accurate, timely, and compliant decision-making aligned with medical policies and regulatory standards. Collaborate with a network of physician colleagues to support consistent, high-quality utilization management decisions. Stay current on advancements in genetics, genomics, and relevant clinical guidelines, laws, and accreditation standards. Contribute to improving care delivery by ensuring patients receive appropriate, evidence-based treatments. Requirements: M.D. or D.O. with active U.S. medical license and board certification (ABMS or AOA). Board certification in one or more of the following specialties: Clinical Genetics and Genomics, Clinical Biochemical Genetics, Medical Biochemical Genetics, Clinical Cytogenetics and Genomics, or Molecular Genetic Pathology. Minimum of 3 years of post-residency or fellowship clinical experience. Ability to obtain additional state medical licensure as required. Strong clinical judgment with experience in evidence-based decision-making. Familiarity with utilization management, healthcare regulations, and accreditation standards (e.g., URAC, NCQA) is a plus. Strong computer literacy and ability to work with digital case management systems independently. Excellent communication skills, including the ability to conduct structured clinical discussions with providers. Ability to work a consistent Monday–Friday schedule in a structured, remote clinical environment. Ability to meet physical and technical requirements of a fully remote, secure workstation setup. Benefits: Annual salary range: $207,800 – $346,300 USD, based on experience and location. Eligibility for annual bonus program. Comprehensive healthcare coverage including medical, dental, and vision from day one. Paid time off including 23 PTO days + 8 paid holidays annually. 401(k) retirement plan with company match. Paid continuing medical education (CME) reimbursement support. Company-paid life insurance and additional wellness benefits. Fully remote work arrangement with structured training, mentorship, and predictable scheduling. Career development and advancement opportunities across a large healthcare enterprise. Access to a collaborative network of physicians across multiple specialties.
• How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1
• We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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